Medical Support Coordinator
About The Position
The Medication Access Coordinator (MAC) reports to Pharmacy Leadership in close collaboration with the clinical ambulatory pharmacy team and serves as the primary liaison for clinical stakeholders regarding pharmacy-based prior authorization programs, refill renewals, prescription assistance programs, and assists the clinical pharmacists in their daily tasks at their discretion. The MAC is responsible for integrating work, coordinating initiatives, and communicating as necessary across several Mass General Brigham medication-related prior authorization and support programs, as well as facilitating communication and documentation for clinical stakeholders. The MAC is also responsible for overseeing workload and balancing quality improvement project management.
Requirements
- High school diploma required.
- One-year experience in a medical setting is required.
Nice To Haves
- College degree preferred.
- Successful completion of an accredited or Board-certified Pharmacy Technician or Medical Assistant training program, or equivalent institutional/retail pharmacy or medical office experience is highly desirable.
- Prior pharmacy experience desirable.
Responsibilities
- Supporting MGB clinic practices by assisting with patient medication management
- Assisting the clinical pharmacists in their day-to-day workflow in assessing medication adherence, calling pharmacies to confirm fills and utilize coupons to ensure we are strengthening patient access, engaging in patient follow-up calls to confirm implementation of regimens as directed by the clinical pharmacist, and other tasks as delegated from the clinical pharmacists.
- Receiving, reviewing, and facilitating requests for medication renewal. Reviewing the requests according to guidelines and protocols. Pending the requests in the electronic medical record (Epic) and routing to prescriber for review and signature
- Acting as a resource for patients on procedures of obtaining prescriptions, generic medications, prior approval requirements, insurance procedures, and other medication related issues.
- Completing medication prior authorization paperwork for signoff by the clinical care team. Monitoring progress of prior authorization status throughout review process and updating appropriate parties as necessary.
- Answering the phone, providing information, and directing calls to the appropriate areas
- Building and managing relationships with clinic managers and medical providers to best serve patients.
- Managing available options for the uninsured to receive medications as well as other aspects related to their healthcare to ensure high quality access.
- Assisting in resolving pharmaceutical company, clinic, and patient issues
- Training and supervising staff members as needed
- Managing database and tracking all information for reporting and analytics; maintain reports, spreadsheets, log sheets and forms as necessary.
- Educating / in-services MDs, RNs, and NPs on reimbursement changes
- Other activities as assigned by the clinical pharmacy team
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
